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Order Code MET Methemoglobin and Sulfhemoglobin, Blood

Additional Codes

Mayo Test ID
MET

Reporting Name

Methemoglobin and Sulfhemoglobin, B

Useful For

Diagnosing methemoglobinemia and sulfhemoglobinemia

 

Identifying cyanosis due to other causes, such as congenital heart disease

Specimen Type

Whole Blood EDTA


Shipping Instructions


Specimen must arrive within 72 hours of collection.



Necessary Information


Patient's age is required.



Specimen Required


Container/Tube: Lavender top (EDTA)

Specimen Volume: Full tube

Additional Information: Patient's age is required.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Whole Blood EDTA Refrigerated 72 hours

Reject Due To

Gross hemolysis Reject

Reference Values

METHEMOGLOBIN

0-11 months: Not established

≥1 year: 0.0-1.5% of total hemoglobin

 

SULFHEMOGLOBIN

0-11 months: Not established

≥1 year: 0.0-0.4% of total hemoglobin

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Day(s) Performed

Monday through Saturday

Method Name

Spectrophotometry (SP)

CPT Code Information

83050-Methemoglobin

83060-Sulfhemoglobin

Profile Information

Test ID Reporting Name Available Separately Always Performed
METH Methemoglobin, B No Yes
SULF Sulfhemoglobin, B No Yes

Method Description

Methemoglobin:

The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. The absorption spectrum of methemoglobin exhibits a small, characteristic peak at 630 nm. This peak is abolished as methemoglobin is converted to cyanmethemoglobin upon addition of potassium cyanide, and the drop in optical density is proportional to methemoglobin concentration.

 

Sulfhemoglobin:

The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. However, if certain poorly defined hemoglobin denaturation products are present in a hemolysate, there is a broad elevation of the absorption curve in the range of 600 nm to 620 nm. This sulfhemoglobin plateau is not affected by treatment with cyanide. Sulfhemoglobin is not available, nor can it be prepared, in a pure form for preparation of a sulfhemoglobin standard. In calculating sulfhemoglobin concentration, the factor for sulfhemoglobin quantitation is based on studies of Carrico, et al.(Evelyn KA, Malloy HT. Microdetermination of oxyhemoglobin, methemoglobin, and sulfhemoglobin in a single sample of blood. J Biol Chem. 1938;126:655-662; Carrico RJ, Peisach J, Alben JO. The preparation and some physical properties of sulfhemoglobin. J Analyt Biochem. 1978;253(10):2386-2391; So JCC, Ma ESK. Hemoglobin and hemoglobinopathies. In: Rifai N, Chiu RWK, Young I, Burnham CAD, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. Elsevier; 2023:chap 77)

Forms

If not ordering electronically, complete, print, and send a Benign Hematology Test Request Form (T755) with the specimen.